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KELLY A KINGSBOROUGH LPC
NPI 1477047264
Counselor - Professional in Medina, OH

Active since June 15, 2018
246 NORTHLAND DR STE 130, MEDINA, OH 44256(440) 260-8300 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly A Kingsborough Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A KINGSBOROUGH LPC (NPI 1477047264) is an individual professional provider in Medina, Ohio, licensed in Ohio (C1500143) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1477047264
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKELLY A KINGSBOROUGHCredential: LPC
Location Address246 NORTHLAND DR STE 130Medina, OH 44256-3440
Mailing Address434 Eastland RdBerea, OH 44017-1217 · (440) 234-2006
Phone(440) 260-8300
Sole ProprietorYes
Enumeration DateJune 15, 2018
✔ NPI 1477047264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · C1500143
246 NORTHLAND DR STE 130, Medina, OH 44256
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Kingsborough's NPI number?

The NPI number for Kelly Kingsborough is 1477047264. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Kelly Kingsborough located?

Kelly Kingsborough practices at 246 Northland Dr Ste 130, Medina, OH 44256. The listed phone number is (440) 260-8300.

What is Kelly Kingsborough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kelly Kingsborough was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.